COUNTRYSIDE THERAPY SERVICE LLC
Organization (NPI-2)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1336391127- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- W4523 COUNTY ROAD IW, WALDO, WI, 530931639
- Phone
- (920) 564-6107
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: WI #5421-024